Individual
STEPHEN GERARD SMALDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2227 OLD EMMORTON RD STE 218, BEL AIR, MD 21015-6189
(443) 371-4940
(443) 371-4941
Mailing address
2227 OLD EMMORTON RD STE 218, BEL AIR, MD 21015-6189
(443) 371-4940
(443) 371-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H40583
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199L
MEDICARE GROUP
MD
05
—
348761000
—
MD
Enumeration date
09/08/2005
Last updated
04/21/2023
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